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General NPI Number Information
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NPI Number | 1649491382
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Entity Type | Organization
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Legal Business Name | MEYER CLINIC OF CHIROPRACTIC
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3430 DODGE ST
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City | DUBUQUE
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State | IA
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Zip | 52003-5218
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Country | US
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Telephone | 563-582-6870
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Fax | 563-582-1991
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Provider Business Mailing Address
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Address Line | 3430 DODGE ST
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City | DUBUQUE
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State | IA
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Zip | 52003-5218
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Country | US
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Telephone | 563-582-6870
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Fax | 563-582-1991
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROBERT THOMAS MEYER
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Credential | D.C.
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Telephone | 563-582-6870
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | A05692
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License Number State | IA
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